Total Joint Center of Excellence Scorecard
Advanced Comprehensive Joint Certification Measures 2024/25 Inpatient
Patients who are able to walk on the same day as surgery have faster recovery. This is a measurement of hip/knee replacement patients with documented walking on the day of surgery as a percent of all hip/knee replacement patients.
THKR-1 Regional Anesthesia
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
0/1 |
0% |
0/1 |
0% |
N/A |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
1/1 |
100% |
| Knee |
N/A |
N/A |
N/A |
N/A |
1/1 |
100% |
N/A |
100% |
N/A |
100% |
100% |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
| Overall |
0/1 |
0% |
0/1 |
0% |
1/1 |
100% |
N/A |
50% |
N/A |
100% |
100% |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
1/1 |
N/A |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov'24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
1/1 |
100% |
1/1 |
100% |
N/A |
N/A |
N/A |
0% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
0% |
0/1 |
0% |
| Knee |
N/A |
100% |
100% |
N/A |
100% |
N/A |
N/A |
0% |
N/A |
0% |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
| Overall |
N/A |
100% |
100% |
N/A |
100% |
N/A |
N/A |
0% |
N/A |
0% |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
0% |
0/1 |
0% |
THKR-3 Discharged to Home
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
N/A |
0/1 |
0% |
0/1 |
0% |
N/A |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
1/1 |
100% |
| Knee |
N/A |
N/A |
N/A |
N/A |
N/A |
0/1 |
N/A |
0% |
N/A |
100% |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
| Overall |
N/A |
N/A |
0/1 |
0% |
0/1 |
0% |
N/A |
50% |
N/A |
100% |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
100% |
1/1 |
100% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
N/A |
1/1 |
100% |
0/1 |
0% |
N/A |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
1/1 |
100% |
| Knee |
N/A |
N/A |
N/A |
1/1 |
100% |
N/A |
N/A |
100% |
N/A |
100% |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
| Overall |
1/1 |
100% |
0/1 |
0% |
1/1 |
100% |
N/A |
100% |
N/A |
100% |
100% |
N/A |
100% |
N/A |
N/A |
N/A |
100% |
1/1 |
100% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
| Knee |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
100% |
N/A |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
| Overall |
1/1 |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
100% |
N/A |
100% |
N/A |
N/A |
100% |
N/A |
N/A |
N/A |
N/A |
N/A |
N/A |
Advanced Comprehensive Joint Certification Measures 2024/25 Outpatient
THKR-1 Regional Anesthesia
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
19/21 |
90% |
13/18 |
72% |
12/15 |
80% |
100% |
89% |
90% |
82% |
94% |
92% |
100% |
72% |
90% |
65% |
92% |
16/16 |
100% |
| Knee |
38/40 |
95% |
32/43 |
74% |
44/52 |
85% |
93% |
91% |
100% |
96% |
93% |
78% |
100% |
86% |
68% |
83% |
100% |
32/33 |
97% |
| Overall |
57/61 |
93% |
45/61 |
74% |
56/67 |
84% |
96% |
90% |
95% |
91% |
94% |
85% |
100% |
81% |
73% |
77% |
98% |
48/49 |
98% |
THKR-2 Postoperative ambulation on day of surgery within 4 hours of discharge from PACU
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
18/21 |
86% |
14/18 |
78% |
12/15 |
80% |
68% |
94% |
70% |
82% |
72% |
72% |
77% |
83% |
60% |
76% |
92% |
13/16 |
81% |
| Knee |
38/40 |
95% |
36/43 |
84% |
48/52 |
92% |
86% |
88% |
87% |
81% |
93% |
87% |
89% |
86% |
81% |
77% |
93% |
29/33 |
88% |
| Overall |
56/61 |
92% |
50/61 |
82% |
60/67 |
90% |
78% |
90% |
79% |
82% |
85% |
79% |
85% |
85% |
76% |
77% |
93% |
42/49 |
86% |
THKR-3 Discharged to Home
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
20/21 |
95% |
17/18 |
94% |
13/15 |
87% |
100% |
100% |
95% |
94% |
100% |
100% |
100% |
100% |
100% |
94% |
100% |
16/16 |
100% |
| Knee |
38/40 |
95 |
42/43 |
98% |
51/52 |
98% |
100% |
100% |
100% |
100% |
97% |
100% |
100% |
100% |
100% |
94% |
93% |
32/33 |
97% |
| Overall |
58/61 |
95% |
59/61 |
97% |
64/67 |
96% |
100% |
100% |
98% |
98% |
98% |
100% |
100% |
100% |
100% |
94% |
95% |
48/49 |
98% |
THKR-4 Preoperative Functional/Health Status Assessment
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
21/21 |
100% |
18/18 |
100% |
14/15 |
93% |
95% |
100% |
100% |
94% |
95% |
100% |
77% |
90% |
90% |
88% |
100% |
15/16 |
94% |
| Knee |
39/40 |
98% |
43/43 |
100% |
51/52 |
98% |
100% |
100% |
100% |
93% |
97% |
96% |
93% |
96% |
94% |
71% |
90% |
33/33 |
100% |
| Overall |
60/61 |
98% |
61/1 |
100% |
65/67 |
97% |
98% |
100% |
100% |
93% |
96% |
98% |
88% |
94% |
93% |
77% |
93% |
48/49 |
98% |
THKR-5 Postoperative Functional/Health Status Assessment
| |
Jan '24 |
Feb '24 |
Mar '24 |
Apr '24 |
May '24 |
June '24 |
July '24 |
Aug '24 |
Sep '24 |
Oct '24 |
Nov '24 |
Dec '24 |
Jan '25 |
Feb '25 |
Mar '25 |
Apr '25 |
May '25 |
June '25 |
July '25 |
| Hip |
10/21 |
N/A |
N/A |
N/A |
N/A |
N/A |
43% |
26% |
33% |
40% |
68% |
40% |
26% |
39% |
31% |
N/A |
N/A |
N/A |
N/A |
| Knee |
23/40 |
N/A |
N/A |
N/A |
N/A |
N/A |
20% |
32% |
26% |
25% |
47% |
28% |
34% |
35% |
29% |
N/A |
N/A |
N/A |
N/A |
| Overall |
33/61 |
N/A |
N/A |
N/A |
N/A |
N/A |
27% |
30% |
28% |
31% |
55% |
33% |
31% |
37% |
30% |
N/A |
N/A |
N/A |
N/A |